SOUTH BAY MENTAL HEALTH (NPI# 1487944369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487944369 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY MENTAL HEALTH |
| Other Organization Name | SOUTH BAY EARLY INTERVENTION |
| Practice Address |
1115 W Chestnut St Brockton MA 02301-7501 |
| Mailing Address |
133 Centre Ave Abington MA 02351-2254 |
| Practice Telephone | 5085590473 |
| Practice Fax Number | 5084275361 |
| Mailing Telephone | 5083803696 |
| Mailing Fax Number | 5084275361 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |
| Authorized Official Name | MRS. MICHELLE NUNES FONSECA (NURSE) |
| Authorized Official Telephone | 5085590473 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | 251934 | MA | Agencies |
| Other Name | Type Code |
|---|---|
| SOUTH BAY EARLY INTERVENTION | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649637166 | South Bay Mental Health | Community/Behavioral Health | 32 Park St Fl 3, Adams, MA 01220-2085 | 2016-01-28 |
| 1710350913 | South Bay Mental Health | Counselor | 670 Route 6a, East Sandwich, MA 02537-1436 | 2015-11-10 |
| 1114309234 | South Bay Mental Health | Community/Behavioral Health | 38 Atwood Avenue, Middleboro, MA 02346 | 2015-06-25 |
| 1245634831 | South Bay Mental Health | Case Management | 62 Evergreen St, Kingston, MA 02364-1426 | 2014-10-10 |
| 1659786333 | South Bay Mental Health | Case Management | 2045 Commonwealth Ave, Apt #4, Brighton, MA 02135-5174 | 2014-06-21 |
| 1912324369 | South Bay Mental Health | Community/Behavioral Health | 49a Farrar Ave, Apt Il, Worcester, MA 01604-3272 | 2014-03-24 |
| 1558706598 | South Bay Mental Health | Clinic/Center | 80 Old Stone Way Apt 309, East Weymouth, MA 02189-2539 | 2013-05-03 |
| 1770841777 | South Bay Mental Health | Exclusive Provider Organization | 26 Pinnacle St, Hooksett, NH 03106-1535 | 2012-04-26 |
| 1720371743 | South Bay Mental Health | Early Intervention Provider Agency | 1563 N Main St. # 202, Fall River, MA 02720 | 2011-05-24 |
| 1548644370 | South Bay Mental Health | Community/Behavioral Health | 181 Union St, Suite J, Lynn, MA 01901-1311 | 2015-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTH BAY MENTAL HEALTH CENTER, INC. | 1115 West Chestnut Street, Brockton, MA 02301 |
| Connecticut Business Registrations | SOUTH BAY MENTAL HEALTH CENTER, INC. | 1115 West Chestnut St, Brockton, MA 02301 |
| Street Address |
1115 W CHESTNUT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912942202 | Daniel Omoayo | Social Worker | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2006-06-19 |
| 1861091647 | Brandi Danielle Pace | Developmental Therapist | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-10-22 |
| 1851905343 | James Thomas Stewart IIi | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-09-02 |
| 1336750397 | Jacqueline Grant | Social Worker | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-08-13 |
| 1821611047 | Peyton Mayzel | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-05-21 |
| 1477186658 | Rebecca Bruno | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-02-17 |
| 1255975116 | Elizabeth Mary Lawlor | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-11-04 |
| 1437790615 | Meredith Lincoln | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-09-30 |
| 1164073441 | Marissa Ann Bragg | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-09-27 |
| 1487205316 | Alexmira Andrade Monteiro | Behavior Technician | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548744139 | Natalie Lockhart | Early Intervention Provider Agency | 1115 W Chestnut St, Brockton, MA 02301 | 2018-09-19 |
| 1184079634 | Bamsi | Early Intervention Provider Agency | 801 Pleasant St, Brockton, MA 02301-3052 | 2016-05-03 |
| 1750703062 | South Bay Mental Health Center, Inc. | Early Intervention Provider Agency | 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 | 2014-01-07 |
| 1790118388 | South Bay Mental Health | Early Intervention Provider Agency | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2013-08-19 |
| 1174960520 | Michenide Augustin | Early Intervention Provider Agency | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2013-05-24 |
| 1598947301 | Radiation Therpay of Southeastern Ma | Early Intervention Provider Agency | 55 Christy Dr, Brockton, MA 02301-1813 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699314237 | Jessica Desmarais | Early Intervention Provider Agency | 385 County St, New Bedford, MA 02740-4931 | 2019-12-30 |
| 1174175194 | Autism Care and Training Services, LLC | Early Intervention Provider Agency | 301 Primrose Hill Rd, Dracut, MA 01826-1235 | 2019-07-10 |
| 1043776743 | Mailing Gaw | Early Intervention Provider Agency | 44 Arrowhead Rd, Weston, MA 02493-1707 | 2019-02-18 |
| 1336619360 | Siara Arielle Correa | Early Intervention Provider Agency | 85 Meadow Brook Ln, Taunton, MA 02780-2079 | 2018-12-03 |
| 1275049249 | Heather Rose Johnson | Early Intervention Provider Agency | 166 Centre Ave, Middleboro, MA 02346-2053 | 2017-12-28 |
| 1518476852 | Jessica Marie Caramanica | Early Intervention Provider Agency | 17 Cranberry Way, Marion, MA 02738-1008 | 2017-09-28 |
| 1114446432 | Autism Therapuetic Services LLC | Early Intervention Provider Agency | 25 Bjorklund Ave, Worcester, MA 01605-1065 | 2017-09-19 |
| 1730637067 | Samantha Garlington | Early Intervention Provider Agency | 43b Park St, Haverhill, MA 01830-6008 | 2016-09-15 |
| 1386099299 | Vera Fernandes | Early Intervention Provider Agency | 191 Eugenia St, New Bedford, MA 02745-5232 | 2016-04-28 |
| 1699148320 | Emily Mann | Early Intervention Provider Agency | 3 Charity Ln, Dedham, MA 02026-2335 | 2015-11-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.